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M E T R O P O L I TA N A R E A P R O F I L E S

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D R U G - R E L A T E D

M O R T A L I T Y

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Albuquerque, NM
Deaths reported to DAWN Drug misuse 156 Suicide 18

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D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Suicide 10.3% Could not be determined 4.0% Overmedication 13.8%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 31 85 15 25 0 Deaths 4 13 -0 0

2
ALBUQUERQUE

1 4 3

Metro area population, 2003 764,869 Population covered by DAWN 764,869 Percent of population covered by DAWN 100%

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (4) 1. Bernalillo County, NM* 2. Sandoval County, NM 3. Torrance County, NM 4. Valencia County, NM Drug misuse Deaths Rate1 156 204.0 141 242.5 5 50.6 0 0.0 10 147.4 Suicide Deaths Rate1 18 23.5 14 24.1 2 20.2 0 0.0 2 29.5
1 Deaths

Total population 764,869 581,442 98,786 16,802 67,839

All other accidental 71.8%

Top 5 drugs involved: Drug misuse deaths, 2003
125 100 75 50 25 0 Opiates/opioids Cocaine Alcohol 62 51 16 Benzodiazepines 15 Antidepressants 112 Multi-drug deaths Single-drug deaths

* Indicates area featured in Spotlight section.

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
15 10 5 0 9 7 5 Multi-drug deaths Single-drug deaths

Opiates/opioids

Antidepressants

Alcohol

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
500

Causes of death, 2003
Drug misuse Deaths 151 -150 142 23 11 Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 18 -18 18 0 --

446.2

Deaths per 1,000,000 population

400 299.9 251.7

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

300

200 112.4 100 16.9 0 Male Female Under 21 21 to 34 35 to 54 55 and over 67.3

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 156 51 62 -6 0 0 -15 0 16 -112 42 23 54 ----5 Singledrug deaths 61 -19 0 -0 0 --0 0 0 33 13 7 13 0 0 0 0 0

Suicide Deaths 18 5 -0 0 0 0 0 7 ---9 0 -7 0 --0 0 Singledrug deaths 7 0 0 0 0 0 0 0 --0 0 -0 0 -0 -0 0 0

Deaths 99 64 -6 0 0 --

Singledrug deaths 35 19 0 -0 0 --

Death rates by gender and age: Suicide, 2003
500

400

300

42

13

200

100 26.8 0 Male 20.4 Female 0.0 Under 21 20.4 21 to 34 34.3 35 to 54

47.1 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Albuquerque, NM

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

45

Atlanta-Sandy Springs-Marietta, GA
24 2 7 5 14 9 13 1
Deaths reported to DAWN Drug misuse 185 Suicide 18 Metro area population, 2003 4,610,032 Population covered by DAWN 2,817,028 Percent of population covered by DAWN 61%

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Deaths by case type, 2003
Suicide 8.9% Could not be determined 5.4% Overmedication 11.3%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 56 85 16 27 -Deaths -13 0 -0

16

23 ATLANTA 15 28 10 11 26 4 6 22 12 18 17 8 27 3 19 21 25 20

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (4) 1. Barrow County, GA 2. Bartow County, GA 3. Butts County, GA 4. Carroll County, GA 5. Cherokee County, GA 6. Clayton County, GA 7. Cobb County, GA 8. Coweta County, GA 9. Dawson County, GA 10. Dekalb County, GA 11. Douglas County, GA 12. Fayette County, GA 13. Forsyth County, GA 14. Fulton County, GA* 15. Gwinnett County, GA 16. Haralson County, GA 17. Heard County, GA 18. Henry County, GA 19. Jasper County, GA 20. Lamar County, GA 21. Meriwether County, GA 22. Newton County, GA 23. Paulding County, GA 24. Pickens County, GA 25. Pike County, GA 26. Rockdale County, GA 27. Spalding County, GA 28. Walton County, GA Drug misuse Deaths Rate1 185 65.7 Suicide Deaths Rate1 18 6.4 Total population 2,817,028 53,479 84,730 22,099 98,525 166,639 259,736 651,027 101,395 18,575 674,334 102,015 98,914 123,811 818,322 673,345 27,460 11,152 150,003 12,547 16,234 22,786 76,144 100,071 26,905 14,979 74,941 60,483 69,381

All other accidental 74.4%

Top 5 drugs involved: Drug misuse deaths, 2003
125 100 75 50 25 0 Cocaine Opiates/opioids Alcohol Benzodiazepines 40 32 25 108 93 Multi-drug deaths Single-drug deaths

30

46.1

6

9.2

15

22.2

3

4.4

Antidepressants

108 32

132.0 47.5

4 5

4.9 7.4

Top 5 drugs involved: Suicide deaths, 2003
15 10 7 5 0 6 5 5 4 Multi-drug deaths Single-drug deaths

Antidepressants

Alcohol

Misc. anxiolytics, sedatives, and hypnotics

Benzodiazepines

Salicylates/ combinations

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

1 Deaths

per 1,000,000 population.

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
150 125 100 75 56.9 50 25 7.1 0 Male Female Under 21 21 to 34 35 to 54 55 and over 39.8 35.3 92.3 141

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 181 26 181 138 35 -Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 16 0 16 16 0 4

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 185 40 108 -11 -0 -25 -32 15 93 -10 83 0 ---9 Singledrug deaths 68 -48 0 4 0 0 0 -0 -0 9 0 -7 0 -0 0 0

Suicide Deaths 18 6 4 0 -0 0 0 7 0 5 5 4 0 0 4 -4 -0 -Singledrug deaths ----------------------

Deaths 126 112 -12 -0 --

Singledrug deaths 53 49 0 4 0 0 0

Death rates by gender and age: Suicide, 2003
150 125 100 75 50 25 8.7 0 Male 4.2 Female 0.0 Under 21 5.8 21 to 34

--

0

12.3 35 to 54

7.6 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Atlanta-Sandy Springs-Marietta, GA

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

47

Baltimore-Towson, MD
4 3
BALTIMORE

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D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

5 2

Deaths reported to DAWN Drug misuse 538 Suicide 12 Metro area population, 2003 2,616,229 Population covered by DAWN 2,616,229 Percent of population covered by DAWN 100%

Deaths by case type, 2003
Could not be determined 94.7%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 189 233 10 106 0 Deaths -7 0 -0

6

1

7

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (7) 1. Anne Arundel County, MD 2. Baltimore City, MD* 3. Baltimore County, MD* 4. Carroll County, MD 5. Harford County, MD 6. Howard County, MD 7. Queen Anne’s County, MD Drug misuse Deaths Rate1 538 205.6 38 75.0 305 485.2 120 154.4 15 91.9 33 142.1 23 87.0 4 90.7 Suicide Deaths Rate1 12 4.6 1 2.0 4 6.4 3 3.9 1 6.1 1 4.3 2 7.6 0 0.0
1 Deaths

All other accidental 3.1%

Suicide 2.2%

Total population 2,616,229 506,620 628,670 777,184 163,207 232,175 264,265 44,108

Top 5 drugs involved: Drug misuse deaths, 2003
500 400 300 200 100 0 Opiates/opioids Cocaine Alcohol Antidepressants 226 215 119 78 Misc. anxiolytics, sedatives, and hypnotics 469 Multi-drug deaths Single-drug deaths

* Indicates area featured in Spotlight section.

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
15 10 5 0 10 6 5 Multi-drug deaths Single-drug deaths

4

Antidepressants

Misc. analgesics/ combinations

Alcohol

Misc. anxiolytics, sedatives, and hypnotics

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
500 421.4 Deaths per 1,000,000 population 400 314.8 300 263.4
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 528 0 528 516 20 11 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 12 0 12 12 ---

200 105.5 64.5 30.1 0 Male Female Under 21 21 to 34 35 to 54 55 and over

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

100

Drug misuse Deaths 538 215 226 0 0 0 -0 119 27 32 78 469 -114 405 0 -53 -9 Singledrug deaths 69 5 12 0 0 0 0 0 --0 0 46 0 12 34 0 --0 0

Suicide Deaths 12 5 0 0 0 0 0 0 10 0 -4 -0 --0 -6 -0 Singledrug deaths 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Deaths 229 226 0 0 0 -0

Singledrug deaths 12 12 0 0 0 0 0

Death rates by gender and age: Suicide, 2003
500

Deaths per 1,000,000 population

400

300

--

0

200

100 4.0 Male 5.1 Female 1.3 Under 21 8.4 21 to 34 6.0 35 to 54 3.7 55 and over

0

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Baltimore-Towson, MD

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

49

Birmingham-Hoover, AL
2 7
BIRMINGHAM

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6

4 5 1

3

Deaths reported to DAWN Drug misuse 89 Suicide 7 Metro area population, 2003 1,072,646 Population covered by DAWN 658,141 Percent of population covered by DAWN 61%

Deaths by case type, 2003
Could not be determined 9.4% Suicide 7.3% Overmedication 8.3%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 11 52 14 12 0 Deaths -4 -0 0

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (1) 1. Bibb County, AL 2. Blount County, AL 3. Chilton County, AL 4. Jefferson County, AL 5. Shelby County, AL 6. St. Clair County, AL 7. Walker County, AL Drug misuse Deaths Rate1 89 135.2 Suicide Deaths Rate1 7 10.6 Total population 658,141 21,206 54,136 40,878 658,141 159,445 68,659 70,181

All other accidental 75.0%

Top 5 drugs involved: Drug misuse deaths, 2003
75 50 25 0 61 47 37 30 Multi-drug deaths Single-drug deaths

89

135.2

7

10.6

Shaded areas did not participate in DAWN this year.

1 Deaths

per 1,000,000 population.

24

Opiates/opioids

Cocaine

Benzodiazepines

Antidepressants

Alcohol

Top 5 drugs involved: Suicide deaths, 2003
10 Multi-drug deaths Single-drug deaths 5 4 4

5

0

Opiates/opioids

Benzodiazepines

Alcohol

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
400

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 73 46 73 32 19 9 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 6 -6 4 ---

Deaths per 1,000,000 population

300

301.7

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

200

190.5

171.8

Drug-related deaths by drug category, 2003
100 86.1 41.8 10.5 0 Male Female Under 21 21 to 34 35 to 54 55 and over
Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Illicit drugs (all case types) Deaths 50 49 -4 -0 0 Singledrug deaths 11 11 0 0 0 0 0

Drug misuse Deaths 89 24 47 -4 -0 0 30 6 37 16 61 -30 40 0 4 12 8 8 Singledrug deaths 12 0 11 0 0 0 0 0 0 0 0 0 -0 -0 0 0 0 0 0

Suicide Deaths 7 4 -0 0 0 0 0 -0 4 -5 0 --0 --0 -Singledrug deaths 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Death rates by gender and age: Suicide, 2003
400

300

200

--

0

100 9.7 0 Male 11.5 Female 7.8 21 to 34 20.5 35 to 54 13.9 55 and over

0.0 Under 21

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Birmingham-Hoover, AL

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

51

Boston-Cambridge-Quincy, MA-NH
7 6
Deaths reported to DAWN Drug misuse 486 Suicide 63 Metro area population, 2003 4,439,971 Population covered by DAWN 4,439,971 Percent of population covered by DAWN 100%

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Deaths by case type, 2003
Could not be determined 77.2%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide 11.5% Suicide Health care facility Home Public place Other Not documented Deaths 104 253 43 72 14 Deaths 11 39 7 5 --

2 5 3

1
BOSTON

3 4

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (7) 1. Essex County, MA* 2. Middlesex County, MA* 3. Norfolk County, MA 4. Plymouth County, MA 5. Suffolk County, MA* 6. Rockingham County, NH 7. Strafford County, NH Drug misuse Deaths Rate1 486 109.5 93 126.0 108 73.4 56 85.6 51 104.6 132 193.9 31 106.9 15 127.4 Suicide Deaths Rate1 63 14.2 13 17.6 14 9.5 11 16.8 4 8.2 14 20.6 6 20.7 1 8.5
1 Deaths

Total population 4,439,971 737,848 1,471,724 654,331 487,521 680,705 290,102 117,740

All other accidental 9.8%

Overmedication 1.5%

Top 5 drugs involved: Drug misuse deaths, 2003
400 316 300 200 100 0 Opiates/opioids Cocaine Alcohol 216 114 88 32 Benzodiazepines Antidepressants Multi-drug deaths Single-drug deaths

* Indicates area featured in Spotlight section.

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
30 25 20 15 10 5 0 Opiates/opioids Cocaine Alcohol Antidepressants Benzodiazepines 23 21 15 11 7 Multi-drug deaths Single-drug deaths

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
250 214.4 Deaths per 1,000,000 population 200 158.1 150 139.6
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 477 114 476 418 54 35 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 60 5 59 40 5 32

100 64.0 50 22.4 0 Male Female Under 21 21 to 34 35 to 54 33.5

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category Deaths 334 237 18 --0 6 Singledrug deaths 135 80 -0 0 0 4 Drug misuse Deaths 486 114 216 18 --0 5 32 10 88 5 316 109 35 188 0 -4 --Singledrug deaths 206 -72 -0 0 0 -6 -16 -99 50 8 41 0 0 --0 Suicide Deaths 63 15 21 0 0 0 0 -11 5 7 5 23 --20 0 --0 0 Singledrug deaths 31 0 8 0 0 0 0 -----7 0 0 7 0 --0 0

55 and over

Death rates by gender and age: Suicide, 2003
250

ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Deaths per 1,000,000 population

200

150

111

50

100

50 19.1 0 Male 9.6 Female 0.8 Under 21 16.5 21 to 34

26.4 10.8 35 to 54 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Boston-Cambridge-Quincy, MA-NH

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

53

Buffalo-Cheektowaga-Tonawanda, NY
2
Deaths reported to DAWN Drug misuse 65 Suicide 18 Metro area population, 2003 1,159,443 Population covered by DAWN 1,159,443 Percent of population covered by DAWN 100%

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Deaths by case type, 2003
Could not be determined 21.7% Suicide 21.7% Overmedication 1.2%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 23 36 -4 0 Deaths 4 9 5 0 0

BUFFALO

1

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (2) 1. Erie County, NY 2. Niagara County, NY Drug misuse Deaths Rate1 65 56.1 48 51.0 17 77.9 Suicide Deaths Rate1 18 15.5 12 12.7 6 27.5
1 Deaths

Total population 1,159,443 941,293 218,150

All other accidental 55.4%

Top 5 drugs involved: Drug misuse deaths, 2003
75 50 25 0 51 27 26 Multi-drug deaths Single-drug deaths

per 1,000,000 population.

21

19

Opiates/opioids

Antidepressants

Cocaine

Alcohol

Benzodiazepines

Top 5 drugs involved: Suicide deaths, 2003
15 10 5 0 10 8 8 5 4 Multi-drug deaths Single-drug deaths

Antidepressants

Opiates/opioids

Alcohol

Misc. anxiolytics, sedatives, and hypnotics

Cocaine

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
125 114.4

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 53 15 53 36 12 5 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 9 -9 6 -9

Deaths per 1,000,000 population

100 81.1 75

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

86.3

50 33.1 25 6.1 0 Male Female Under 21 21 to 34 35 to 54 55 and over 21.2

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 65 21 26 7 0 0 0 0 27 4 19 9 51 17 7 44 0 0 -0 4 Singledrug deaths 7 0 4 -0 0 0 0 0 0 0 0 -0 0 -0 0 -0 0

Suicide Deaths 18 8 4 -0 0 0 -10 --5 8 -0 8 0 0 0 0 -Singledrug deaths ----------------------

Deaths 51 30 8 0 0 0 --

Singledrug deaths 7 6 -0 0 0 0

Death rates by gender and age: Suicide, 2003
125

100

75

19

0

50 25.4 13.2 0.0 Male Female Under 21 21 to 34 35 to 54 55 and over 25.7 14.1

25

18.0

0

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Buffalo-Cheektowaga-Tonawanda, NY

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

55

Chicago-Naperville-Joliet, IL-IN-WI
14 8 7 3 9 1
Deaths reported to DAWN Drug misuse 138 Suicide 34
CHICAGO

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D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Suicide 19.8% Could not be determined 5.2% Overmedication 12.2% Homicide by drugs 1.7%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 48 61 7 21 -Deaths -22 -6 0

2

5 6 4

11 13 12 10

Metro area population, 2003 9,333,511 Population covered by DAWN 2,419,985 Percent of population covered by DAWN 26%

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (5) 1. Cook County, IL 2. Dekalb County, IL 3. DuPage County, IL* 4. Grundy County, IL 5. Kane County, IL 6. Kendall County, IL 7. Lake County, IL 8. McHenry County, IL 9. Will County, IL 10. Jasper County, IN 11. Lake County, IN 12. Newton County, IN 13. Porter County, IN 14. Kenosha County, WI Drug misuse Deaths Rate1 138 57.0 Suicide Deaths Rate1 34 14.0 Total population 2,419,985 5,351,552 94,041 925,188 39,528 457,122 66,565 685,019 286,091 586,706 31,078 487,476 14,403 152,533 156,209

All other accidental 61.0%

Top 5 drugs involved: Drug misuse deaths, 2003
100 80 60 40 20 0 Opiates/opioids Cocaine Alcohol 17 Benzodiazepines 16 Misc. anxiolytics, sedatives, and hypnotics 87 62 46 Multi-drug deaths Single-drug deaths

63 14 2 37 22

68.1 30.6 30.0 54.0 76.9

15 6 1 9 3

16.2 13.1 15.0 13.1 10.5

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

1 Deaths

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
20 15 10 5 0 Benzodiazepines Antidepressants Opiates/opioids Alcohol Misc. anxiolytics, sedatives, and hypnotics 14 13 12 Multi-drug deaths Single-drug deaths 11 7

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
100 80 82.2 85.4 96.0

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 123 7 123 117 25 10 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 26 -26 23 -8

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

60

40

32.1 21.6 17.7

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category Deaths 87 67 10 --0 -Singledrug deaths 31 24 -0 0 0 0 Drug misuse Deaths 138 46 62 9 --0 -16 -17 16 87 27 15 50 0 -7 --Singledrug deaths 46 -21 -0 0 0 0 -0 0 -16 5 4 7 0 0 0 0 0 Suicide Deaths 34 11 5 -0 0 0 0 13 -14 7 12 0 -11 0 -5 --Singledrug deaths 11 0 --0 0 0 0 -0 0 --0 --0 0 -0 0

20

0

Male

Female

Under 21

21 to 34

35 to 54

55 and over

Death rates by gender and age: Suicide, 2003
100 80

ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

60

27

5

40 29.5 20 19.1 9.1 0 0.0 Male Female Under 21 21 to 34 35 to 54 55 and over 13.1 12.6

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Chicago-Naperville-Joliet, IL-IN-WI

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

57

Cleveland-Elyria-Mentor, OH
3
CLEVELAND

58
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths reported to DAWN Drug misuse 178 Suicide 21 Metro area population, 2003 2,139,512 Population covered by DAWN 1,363,888 Percent of population covered by DAWN 64%

Deaths by case type, 2003
Suicide 10.6% Could not be determined 1.0% Overmedication 0.5%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 82 77 5 14 0 Deaths 9 12 0 0 0

4 5

1

2

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (1) 1. Cuyahoga County, OH 6 2. Geauga County, OH 3. Lake County, OH 4. Lorain County, OH 5. Medina County, OH Drug misuse Deaths Rate1 178 130.5 178 130.5 Suicide Deaths Rate1 21 15.4 21 15.4 Total population 1,363,888 1,363,888 93,941 228,878 291,164 161,641

All other accidental 87.9%

Top 5 drugs involved: Drug misuse deaths, 2003
100 75 50 25 0 Cocaine Opiates/opioids Alcohol 46 26 15 Antidepressants Benzodiazepines 91 90 Multi-drug deaths Single-drug deaths

Shaded areas did not participate in DAWN this year.

1 Deaths

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
15 10 5 0 9 Multi-drug deaths Single-drug deaths 8 6

Antidepressants

Alcohol

Opiates/opioids

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
300 250 200 150 100 65.3 50 12.8 0 Male Female Under 21 21 to 34 35 to 54 55 and over 203.2 295.7

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 178 26 178 152 94 4 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 21 0 21 21 6 --

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

126.0

Drug-related deaths by drug category, 2003
70.8
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 178 46 91 5 --7 0 26 6 15 7 90 39 5 55 --13 0 -Singledrug deaths 89 0 50 0 0 --0 ---0 26 15 -9 0 --0 0

Suicide Deaths 21 8 -0 -0 0 0 9 ---6 0 0 6 0 0 -0 -Singledrug deaths 7 0 0 0 -0 0 0 -0 0 0 -0 0 -0 0 -0 --

Deaths 129 93 5 --7 0

Singledrug deaths 70 50 0 ---0

Death rates by gender and age: Suicide, 2003
300 250 200 150 100 50 10.9 0 Male 36.6 2.6 Under 21 21 to 34 35 to 54

39

15

19.5 Female

22.4

6.2 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Cleveland-Elyria-Mentor, OH

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

59

Denver-Aurora, CO
8 4 5 9 6 10 3
DENVER

60
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

1 2 7

Deaths reported to DAWN Drug misuse 225 Suicide 55 Metro area population, 2003 2,301,116 Population covered by DAWN 2,205,845 Percent of population covered by DAWN 96%

Deaths by case type, 2003
Could not be determined 9.3% Suicide 19.6% Overmedication 7.1%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 50 138 11 26 0 Deaths 12 37 -5 0

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (5) 1. Adams County, CO 2. Arapahoe County, CO 3. Broomfield County, CO 4. Clear Creek County, CO 5. Denver County, CO* 6. Douglas County, CO 7. Elbert County, CO 8. Gilpin County, CO 9. Jefferson County, CO 10. Park County, CO Drug misuse Deaths Rate1 225 102.0 31 81.5 37 71.7 Suicide Deaths Rate1 55 24.9 12 31.6 11 21.3 Total population 2,205,845 380,273 516,060 42,169 9,538 557,478 223,471 22,254 4,845 528,563 16,465

All other accidental 63.9%

Top 5 drugs involved: Drug misuse deaths, 2003
150 100 50 0 138 99 Multi-drug deaths Single-drug deaths 83

123 6

220.6 26.8

12 2

21.5 8.9

28

53.0

18
1 Deaths

34.1

30

28 Antidepressants

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

per 1,000,000 population.

Opiates/opioids

Cocaine

Alcohol

Benzodiazepines

Top 5 drugs involved: Suicide deaths, 2003
40 30 20 10 0 Opiates/opioids Antidepressants Alcohol Misc. anxiolytics, sedatives, and hypnotics 26 20 18 12 9 Multi-drug deaths Single-drug deaths

Misc. analgesics/ combinations

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
200 184.2 148.9 146.7

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 214 -213 204 28 -Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 53 0 53 52 6 --

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

150

100 55.2 50 4.6 0 Male Female Under 21 21 to 34 35 to 54 55 and over
Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

58.5

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Deaths 130 102 6 26 -0 -Singledrug deaths 36 27 0 5 0 0 -Drug misuse Deaths 225 83 99 6 25 -0 -28 6 30 10 138 6 23 116 0 -10 -9 Singledrug deaths 71 0 27 0 5 0 0 ---0 0 28 --22 0 -4 0 -Suicide Deaths 55 18 -0 -0 0 0 20 -7 12 26 --23 --9 4 6 Singledrug deaths 12 0 0 0 0 0 0 0 -0 0 --0 0 -0 0 4 ---

Death rates by gender and age: Suicide, 2003
200

150

100

7

--

50 23.6 0 26.3 4.6 Male Female Under 21 21 to 34 18.6

48.2 25.1

35 to 54

55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Denver-Aurora, CO

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

61

Detroit-Warren-Livonia, MI
1 5 3
Deaths reported to DAWN Drug misuse 546 Suicide 53 Metro area population, 2003 4,483,853 Population covered by DAWN 4,219,658 Percent of population covered by DAWN 94%

62
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Could not be determined 37.1% Suicide 8.8% Overmedication 0.7%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 142 276 14 114 0 Deaths 12 35 -5 0

4 2

DETROIT

6

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (4) 1. Lapeer County, MI 2. Livingston County, MI 3. Macomb County, MI 4. Oakland County, MI* 5. St. Clair County, MI 6. Wayne County, MI* Drug misuse Deaths Rate1 546 129.4 Suicide Deaths Rate1 53 12.6 Total population 4,219,658 91,314 172,881 813,948 1,207,869 169,063 2,028,778

All other accidental 53.4%

Top 5 drugs involved: Drug misuse deaths, 2003
500 400 300 200 100 0 Opiates/opioids Cocaine Alcohol Benzodiazepines 418 289 156 144 Multi-drug deaths Single-drug deaths

76 116 15 339

93.4 96.0 88.7 167.1

11 18 0 24
1 Deaths

13.5 14.9 0.0 11.8

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

per 1,000,000 population.

109

Antidepressants

Top 5 drugs involved: Suicide deaths, 2003
40 30 20 10 0 Opiates/opioids Benzodiazepines Antidepressants Alcohol Misc. anxiolytics, sedatives, and hypnotics 35 23 Multi-drug deaths Single-drug deaths 20 20 15

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
400 323.8 Deaths per 1,000,000 population
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 535 244 535 266 39 8 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 50 0 50 48 -8

300

200

178.0

Drug-related deaths by drug category, 2003
100 83.7 8.6 0 Male Female Under 21 21 to 34 35 to 54 55 and over 99.3 46.9
Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Illicit drugs (all case types) Deaths 364 295 39 6 0 0 -Singledrug deaths 50 42 0 0 0 0 --

Drug misuse Deaths 546 156 289 37 4 0 0 0 109 25 144 88 418 72 75 348 --20 10 35 Singledrug deaths 69 0 42 0 0 0 0 0 -0 -0 21 7 -12 0 0 0 0 0

Suicide Deaths 53 20 6 --0 0 -20 6 23 15 35 0 -35 0 -8 --Singledrug deaths 8 0 0 0 0 0 0 -0 0 0 --0 0 -0 -0 0 0

Death rates by gender and age: Suicide, 2003
400

Deaths per 1,000,000 population

300

200

72

7

100 10.3 0 Male 14.7 Female 9.8 21 to 34 29.7 35 to 54 8.2 55 and over

0.0 Under 21

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Detroit-Warren-Livonia, MI

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

63

Houston-Baytown-Sugar Land, TX
9 8 10 HOUSTON 6 4 2 7 3 5
Deaths reported to DAWN Drug misuse 287 Suicide 89 Metro area population, 2003 5,075,733 Population covered by DAWN 4,395,137 Percent of population covered by DAWN 87%

64
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Suicide 23.7% Overmedication 12.2%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 94 148 6 36 -Deaths 25 51 -11 0

1

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (4) 1. Austin County, TX 2. Brazoria County, TX 3. Chambers County, TX 4. Fort Bend County, TX 5. Galveston County, TX 6. Harris County, TX* 7. Liberty County, TX 8. Montgomery County, TX 9. San Jacinto County, TX 10. Waller County, TX Drug misuse Deaths Rate1 287 65.3 Suicide Deaths Rate1 89 20.2 Total population 4,395,137 25,057 263,149 27,581 419,772 266,775 3,596,086 74,117 344,700 23,917 34,579

All other accidental 64.1%

Top 5 drugs involved: Drug misuse deaths, 2003
200 150 100 50 0 Opiates/opioids Cocaine Alcohol Benzodiazepines 152 132 80 58 43 Multi-drug deaths Single-drug deaths

12 241 33 1

28.6 67.0 95.7 28.9

3 78 8 0
1 Deaths

7.1 21.7 23.2 0.0

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

per 1,000,000 population.

Muscle relaxants

Top 5 drugs involved: Suicide deaths, 2003
50 40 30 20 10 0 Opiates/opioids Antidepressants Benzodiazepines Alcohol Misc. anxiolytics, sedatives, and hypnotics 28 26 23 17 45 Multi-drug deaths Single-drug deaths

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
150 125 100 75 50 25 5.4 0 Male Female Under 21 21 to 34 35 to 54 55 and over 42.4 146.5

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 287 0 287 281 6 0 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 88 0 88 85 ---

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

88.5 62.6 36.6

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 287 80 132 16 --5 -32 4 58 18 152 27 31 101 0 -5 -43 Singledrug deaths 117 -79 0 -0 0 --0 -0 28 7 8 13 0 --0 0

Suicide Deaths 89 23 10 5 0 0 0 -28 -26 17 45 -8 39 0 -6 -15 Singledrug deaths 27 0 -0 0 0 0 -7 0 --6 0 -5 0 -----

Deaths 181 142 21 --5 5

Singledrug deaths 93 82 0 -0 0 --

Death rates by gender and age: Suicide, 2003
150 125 100 75 50 25 0 22.0 18.5 4.0 Male Female Under 21 21 to 34 35 to 54 55 and over 13.6 41.5 23.8

29

7

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Houston-Baytown-Sugar Land, TX

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

65

Indianapolis, IN
1 3 INDIANAPOLIS 4 7 8 6 10

66
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths reported to DAWN Drug misuse 72 Suicide 8 Metro area population, 2003 1,595,377 Population covered by DAWN 986,507 Percent of population covered by DAWN 62%

Deaths by case type, 2003
Could not be determined 88.8%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 14 40 -15 0 Deaths 0 7 0 -0

5 9

2

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (2) 1. Boone County, IN 2. Brown County, IN 3. Hamilton County, IN 4. Hancock County, IN 5. Hendricks County, IN 6. Johnson County, IN 7. Marion County, IN 8. Morgan County, IN 9. Putnam County, IN 10. Shelby County, IN Drug misuse Deaths Rate1 72 73.0 Suicide Deaths Rate1 8 8.1 Total population 986,507 49,370 15,313 216,826 59,446 118,850 123,256 863,251 68,656 36,692 43,717

Suicide All other accidental 10.0% 1.3%

Top 5 drugs involved: Drug misuse deaths, 2003
75 60 50 25 0 23 21 Multi-drug deaths Single-drug deaths

0 72

0.0 83.4

0 8

0.0 9.3

17

14 Marijuana

Shaded areas did not participate in DAWN this year.

1 Deaths

per 1,000,000 population.

Opiates/opioids

Alcohol

Cocaine

Benzodiazepines

Top 5 drugs involved: Suicide deaths, 2003
10 Multi-drug deaths Single-drug deaths 4

5

0

Opiates/opioids

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
150 125 100 75 55.0 50 25 0 20.2 16.6 21 to 34 35 to 54 55 and over 92.1 92.1 147.3

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 71 21 71 60 8 0 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 8 0 7 8 -0

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 72 23 21 14 -0 -0 5 0 17 5 60 -17 48 0 -4 0 -Singledrug deaths 13 0 4 0 0 0 0 0 0 0 0 -5 0 -4 0 -0 0 0

Suicide Deaths 8 ---0 0 0 0 -0 --4 0 -4 -0 -0 -Singledrug deaths ----------------------

Deaths 35 22 15 -0 -0

Male

Female

Under 21

Singledrug deaths 5 5 0 0 0 0 0

Death rates by gender and age: Suicide, 2003
150 125 100 75 50 25 0 20.6 10.5 Male 5.9 Female 0.0 Under 21 4.6 21 to 34 35 to 54 5.5 55 and over

--

0

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Indianapolis, IN

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

67